Trace Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

26980 Issued in TX

Legal business name

TRACE PHARMACY LLC

Doing business as

Trace Pharmacy

Practice address

8104 Southwest Fwy Ste B
Houston, TX 77074-1704

Phone

(713) 981-6600

Fax

(713) 981-6605

NPI assigned

Jun 25, 2010

Last updated

Jul 8, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gregory Cleare

Title

Owner

Phone

(713) 981-6600

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Trace Pharmacy Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278547200000",
    "number": "1184935066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8104 SW FWY",
            "address_2": "SUITE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741703",
            "telephone_number": "713-981-6600",
            "fax_number": "713-981-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8104 SOUTHWEST FWY STE B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741704",
            "telephone_number": "713-981-6600",
            "fax_number": "713-981-6605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-25",
        "last_updated": "2010-07-08",
        "status": "A",
        "authorized_official_last_name": "CLEARE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-981-6600"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "26980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5900368",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trace Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Peter G Traber, MD
• Tamara Traber, OTR
• Henri Toufic Traboulsi, M.D.
• Adnan Trabulsi, MD
• Trace Body Rejuvenation, Sports Recovery, Pain Relief, and Aesthetics (Trace Body Rejuvenation)
• Barry Trachtenberg, MD
• Tracy M. Clark DDS Inc (West Houston Endodontics)
• Britney Tracy, OTR/L
• Darlene A Tracy, PA-C
• Sherri A. Tracy, CRNA

• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.